LATECE KELLISE PHILLIPS-SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279106

License Status

NOT RENEWED

Business

First Name

LATECE

Middle

KELLISE

Last Name

PHILLIPS-SMITH

Business Name

LATECE KELLISE PHILLIPS-SMITH

Original Issue Date

02/01/2021

Effective Date

02/01/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60615

Ever Disciplined

LastModifiedDate

07/27/2022